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Individual

MRS. LAURA MARIE GROGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4392 STATE ROUTE 235, ADA, OH 45810-9503
(419) 634-8655
(419) 238-3612
Mailing address
835 SOUTH MAIN STREET, DELPHOS, OH 45833-2329
(419) 692-3713

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 008586
OH

Other

Enumeration date
05/02/2007
Last updated
07/08/2007
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